CLIA lab
CLIA 05D2113187: Lakeside Medical Organization, A Medical Group Inc
Mission Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2113187 belongs to Lakeside Medical Organization, A Medical Group Inc in Mission Hills, CA.
Certificate of Waiver, effective November 1, 2025, expires October 31, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 1, 2025
- Certificate expiration
- October 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 17, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2113187
- Lab name
- Lakeside Medical Organization, A Medical Group Inc
- Address
- 14901 Rinaldi St Ste 315, Mission Hills, CA 91345
- Phone
- (818) 838-6716
- Fax
- (818) 838-9279
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mission Hills, CA
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2315285
- Anmar Home Helath Care IncCertificate of Waiver, Home health agency05D2303468
- Ararat Nursing FacilityCertificate of Waiver, Skilled nursing or nursing facility05D2081415
- Arion Congregate Home IncCertificate of Waiver, Skilled nursing or nursing facility05D2333361
- Assisted Home CareCertificate of Waiver, Home health agency05D0938271
- Assisted Home Care IncCertificate of Waiver, Hospice05D2310591
- Blue Sky Home Health, IncCertificate of Waiver, Home health agency05D1090944
- Easi Home Health Care, Inc.Certificate of Waiver, Home health agency05D2288367
- Family Planning Associates MedicalCertificate of Compliance, Physician office05D0668296
- Frank R Lusher MD IncCertificate of Compliance, Physician office05D0864512
Related
Questions
What is the CLIA number for Lakeside Medical Organization, A Medical Group Inc in Mission Hills?
05D2113187, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Medical Organization, A Medical Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2113187 expire?
The CMS file lists October 31, 2027 as the certificate expiration date; the certificate took effect November 1, 2025.